Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,951.21 / $4,677.35	Facility		$741.31	$2,951.21	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $446.68	Professional		$120.23	$208.93	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $162.18	Professional		$107.15	$134.90	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $407.38	Professional		$123.03	$218.78	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $389.05	Professional		$190.55	$257.04	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $363.08	Professional		$114.82	$199.53	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $331.13	Professional		$173.78	$288.40	$331.13